Pheasant Street Grove Home
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · SF, CA
NPI 1508044157 · NPPES record last updated Feb 6, 2008
Key facts
- NPI
- 1508044157
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- PHEASANT STREET GROVE HOME
- Practice address
- 2056 Grove Street
SF, CA 94117 - Phone
- (415) 586-3214
- Fax
- (415) 586-3214
- NPI assigned
- Feb 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Joyce R Gisler
- Title
- Owner Administrator
- Phone
- (415) 386-3214
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
2056 Grove Street
SF, CA 94117
Mailing address
2056 Grove Street
SF, CA 94117
Phone (415) 586-3214
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.